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A bowel resection or enterectomy (enter-+ -ectomy) is a surgical procedure in which a part of an intestine (bowel) is removed, from either the small intestine or large intestine. Often the word enterectomy is reserved for the sense of small bowel resection, in distinction from colectomy , which covers the sense of large bowel resection.
Jejunoileal bypass (JIB) was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which all but 30 cm (12 in) to 45 cm (18 in) of the small bowel were detached and set to the side.
When the resection is complete, the surgeon has the option of reconnecting the bowel by stitching or stapling together the cut ends of the bowel (primary anastomosis) or performing a colostomy to create a stoma, an opening of the bowel to the abdominal wall that provides an alternate exit for the contents of the gastrointestinal tract. [1]
Short bowel syndrome in adults and children is most commonly caused by surgery (intestinal resection). [4] In those who undergo intestinal resection, approximately 15% eventually develop small bowel syndrome (75% of those due to 1 large resection and 25% due to multiple separate intestinal resections). [4] This surgery may be done for:
A lower anterior resection, formally known as anterior resection of the rectum and colon and anterior excision of the rectum or simply anterior resection (less precise), is a common surgery for rectal cancer and occasionally is performed to remove a diseased or ruptured portion of the intestine in cases of diverticulitis.
Other long-term bowel dysfunction symptoms may include fecal and gas incontinence, urgency, frequent bowel movements, and difficulty emptying. The symptoms collectively are referred to as low anterior resection syndrome (LARS) and adversely affect quality of life, sometimes so much so that some patients even prefer to have their stoma-reversal ...
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The procedure was studied by researchers in Boston utilizing a group of ten young pigs. Five of the pigs underwent removal of 90 percent of the bowel followed by STEP. The other pigs underwent the bowel resection without the STEP procedure, serving as control subjects. STEP was shown to lengthen the bowel from 105.2 ± 7.7 cm to 152.2 ± 8.3 cm ...